Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brogan Repp

Individual provider Registered Nurse · NPI 1295431823

Brogan Repp is a Nurse Practitioner in Round Lake, Illinois. Graduated from Rush Medical College of Rush University in 2022, 4 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

34159 N Hainesville Rd
Round Lake, IL 60073-9790
Phone: (847) 722-0063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209027936 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041413004 (IL)

Record details

NPI number1295431823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address34159 N Hainesville Rd, Round Lake, IL 60073-9790

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2022 (4 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Round Lake